Individual provider · Type 1 NPI
Maja Ivanova Benton, NP
Nurse Practitioner · Syracuse, NY
Practice location
301 Prospect Ave
Syracuse, NY 13203-1899
Mailing address
121 Donaldson Dr
Syracuse, NY 13219-1838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 354461 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1649012915
Maja Ivanova Benton, NP's National Provider Identifier is 1649012915, issued on Jun 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 8, 2024.